All citations for The Highlands Guest Care Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to The Highlands Guest Care Center

Last standard health inspection on record

December 30, 2025

Showing 1 to 16 of 16 citations

  1. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 14, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  2. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 14, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  3. Immediate jeopardy to resident health or safety

    Provide safe, appropriate pain management for a resident who requires such services.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of April 14, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  4. Immediate jeopardy to resident health or safety

    Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0777, Administration Deficiencies. Inspection of April 14, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  5. No harm, with potential for more than minimal harm

    Keep all essential equipment working safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0908, Environmental Deficiencies. Inspection of April 14, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 16, 2025).

  6. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 19, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  7. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 19, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  8. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of October 10, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  9. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 10, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  10. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of October 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

  11. No harm, with potential for more than minimal harm

    Have exits that are accessible at all times.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of October 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

  12. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of October 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

  13. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of October 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

  14. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of October 10, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  15. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of October 10, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  16. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.